自我管理教育对首发精神分裂症患者社会功能及其生活质量的影响

目的 探讨自我管理教育对首发精神分裂症患者社会功能及其生活质量的影响.方法 将116例首发精神分裂症患者随机分为观察组和对照组各58例,其中脱落5例.对照组常规用抗精神病药治疗和一般的健康教育,观察组在此基础上实施自我管理教育,并随访1年.采用简明精神病量表(BPRS)、住院患者护士观察量表(NOSIE-30)、社会功能缺陷量表(SDSS)和生活质量综合评定问卷(GQOLI),分别于入组时及随访结束时进行评估.结果 入组时,所有量表评分两组间比较,差异均无显著性意义(P＞0.05);但随访结束时,观察组患者的BPRS、NOSIE-30中的总消极因素及SDSS评分均明显低于对照组(P＜0.01),而NOSIE-30总分、总积极因素及GQOLI评分均明显高于对照组(P＜0.01),差异均有统计学意义.结论 自我管理教育有助于改善首发精神分裂症患者的精神症状,促进其社会功能的恢复,提高其生活质量.

The effect of social functions and quality of life of self -control education in patients with first episode schizophrenia

Objective To detect the effect of social functions and quality of life of self -control education in patients with first cpisode schizophrenia. Methods A total of 116 patients with first episode schizophrenia were randomly divided into the observation group (58)and the control group (58) . Both the groups were received anti -psychotics treatment and general health education, but self-control education was given to the observation group. These patients were followed up for 1 year. All the subjects were evaluated by brief psychiatric rating scale (BPRS), nurse observation scale for inpatient evaluation -30 (NOSIE -30), social disability screening schedule (SDSS) and the generic quality of life inventory (GQOLI) . Results There were 111 subjects who had completed the trial. There were no significant differences between the two groups at the beginning ( P ＞ 0. 05 ), but were significant differences after a year (P ＜0. 01 ) . Conclusions Self-control education could improve psychiatric symptoms of patients with first episode schizophrenia, help to the recovery of social functions and improve quality of life.